OSCE Talk

Osce Talk
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OSCE Talk is a podcast designed to help medical students feel more confident in clinical exams. Hosted by UK resident doctors, each episode focuses on one condition or station, breaking down what to ask, what to look for, and what matters in your OSCE. Fast, practical, and exam-focused. 🔗 Follow us: 🎙️ Spotify: OSCE Talk 🍏 Apple Podcasts: OSCE Talk Instagram: https://instagram.com/oscetalk_ TikTok: https://tiktok.com/@oscetalk_ YouTube → https://www.youtube.com/@oscetalkpod

  1. 15 HR AGO

    How to Counsel a Patient on Heart Failure | OSCE Talk

    In this episode of OSCE Talk, we walk through how to counsel a patient diagnosed with heart failure, a common and high-yield OSCE and clinical scenario. Using a realistic doctor–patient role-play, we cover: How to explain heart failure in clear, patient-friendly language Linking symptoms such as breathlessness, orthopnoea, and oedema to the underlying condition Common causes of heart failure, including myocardial infarction Lifestyle advice, including fluid restriction, salt intake, smoking, and alcohol An overview of management, including medications, diuretics, and specialist follow-up Addressing patient concerns, prognosis, and safety-netting This episode is designed to help medical students and junior doctors feel confident counselling patients with heart failure in both OSCEs and real clinical practice.

    7 min

  2. 17 HR AGO

    First Seizure Explained | History, Red Flags & Patient Counselling | OSCE Talk

    In this episode of Osce Talk, we cover how to take a focused first seizure history and how to explain a seizure to patients in clear, patient-friendly language. We walk through: How to structure a first seizure history (before, during, after) Key red flags you must not miss in OSCEs How to explain what a seizure is (and why it’s not always epilepsy) Immediate seizure first aid advice for patients and families Driving advice and DVLA rules you need to mention When to refer for neurology follow-up, EEG, and imaging This episode is ideal for: Medical students preparing for OSCEs Foundation doctors in A&E or GP Anyone needing a clear framework for first seizure counselling 🎧 Listen alongside our Epilepsy History episode for a complete approach.

    7 min

  3. 20 HR AGO

    How to Counsel a Patient on Migraine | OSCE Talk

    In this episode of OSCE Talk, we cover how to counsel a patient with migraine — a common OSCE and clinical scenario. We walk through: How migraine typically presents (with and without aura) Common triggers and red flags you must not miss How to explain migraine in clear, patient-friendly language Step-by-step management: lifestyle advice, acute treatments, and prevention When to escalate, safety-net, and refer This episode builds on our headache history episode and focuses specifically on clear, structured counselling, helping you feel confident explaining migraine to patients in OSCEs and real-life practice. Migraine is usually a unilateral, throbbing headache that can be severe and disabling Migraine may occur with or without aura (visual, sensory, or nausea symptoms) Common triggers include alcohol, chocolate, caffeine, stress, and poor sleep Migraine with aura is a contraindication to the combined oral contraceptive pill Conservative management focuses on trigger avoidance and lifestyle modification First-line treatment includes simple analgesia (paracetamol, NSAIDs) Triptans (e.g. sumatriptan) can be used for acute attacks Preventative options may include beta-blockers or specialist therapies Always safety-net worsening headaches, neurological symptoms, fever, or sudden onset

    5 min

  4. 2 DAYS AGO

    How to Counsel a Patient on Eczema & Psoriasis | OSCE Talk

    In this episode of OSCE Talk, Peter and Matthew talk through how to counsel a patient with eczema and psoriasis, with a strong focus on clear, patient-friendly explanations and practical management advice. We start by breaking down eczema as a chronic atopic condition, explaining the skin-barrier problem in simple terms that patients can understand. We discuss common triggers, the relapsing–remitting nature of eczema, and how it often sits alongside asthma and hay fever as part of the atopic triad. The episode then moves into practical counselling, covering the core principles of management — emollients and topical steroids — including how to reassure patients about steroid use, how to explain potency, and how to encourage long-term prevention rather than repeated flares. We also highlight the mental health impact of chronic skin conditions, the importance of screening for infection during flares, and when to escalate care or refer to dermatology for specialist treatments. This episode is ideal for OSCE counselling stations, medical students, and foundation doctors looking to improve confidence in explaining dermatological conditions in a structured, empathetic way.

    10 min

  5. 2 DAYS AGO

    How to Counsel a Patient on Warfarin | OSCE Talk

    🎙️ How to Counsel a Patient on Warfarin | OSCE Talk In this episode of OSCE Talk, Peter and Matthew walk through how to counsel a patient on Warfarin, focusing on the key differences compared with DOACs such as Apixaban. We cover when Warfarin is indicated, including mechanical heart valves, rheumatic heart disease, and antiphospholipid syndrome, before breaking down INR monitoring, dose adjustment, and practical safety advice that frequently comes up in OSCEs. The episode emphasises a structured counselling approach, highlighting bleeding risks, drug and food interactions, pregnancy advice, and when patients should seek urgent medical attention. We also discuss reversal with vitamin K and prothrombin complex concentrate (PCC) and outline how Warfarin counselling fits into the wider anticoagulation framework. This episode is ideal for OSCE medication counselling stations, foundation doctors, and anyone needing a clear, practical refresher on Warfarin. Warfarin is a vitamin K antagonist used for anticoagulation Common indications include mechanical heart valves, rheumatic heart disease, AF, VTE, and antiphospholipid syndrome Unlike DOACs, Warfarin requires regular INR monitoring INR targets vary depending on indication and patient risk Doses are adjusted frequently using different tablet strengths Patients should carry a Warfarin (yellow) booklet Major risks include bleeding, especially GI bleeding and intracranial haemorrhage Warfarin interacts with many medications and foods (e.g. antibiotics, NSAIDs, St John’s wort, green leafy vegetables) Alcohol and cranberry juice can affect INR Warfarin is contraindicated in pregnancy Reversal involves vitamin K and PCC in severe bleeding

    7 min

  6. 28/12/2025

    How to Counsel a Patient on Apixaban | OSCE Talk

    In this episode of OSCE Talk, we break down how to counsel a patient on Apixaban — a common anticoagulant used for stroke prevention in atrial fibrillation and for the treatment and prevention of DVT and PE. We cover what Apixaban is, why it’s prescribed, and how to clearly explain benefits, bleeding risks, and safety advice to patients in an OSCE-friendly way. You’ll learn how to structure anticoagulant counselling, including dosing, missed doses, interactions, red flags, and when patients should seek urgent help. This episode is ideal for medical students preparing for OSCEs, foundation doctors, and anyone wanting to improve real-world medication counselling skills. ✅ KEY TAKEAWAYS Apixaban is a factor Xa inhibitor used for anticoagulation Common indications include AF-related stroke prevention, DVT, and PE Explain stroke risk vs bleeding risk clearly to patients Unlike warfarin, Apixaban does not require routine INR monitoring Patients must take it twice daily at the same time each day Missed doses should be taken as soon as remembered (same day) Major bleeding and head injury require urgent medical attention Avoid NSAIDs and inform healthcare professionals before procedures Apixaban is contraindicated in pregnancy Clear counselling improves adherence and patient safety

    12 min

  7. 21/12/2025

    How to Explain Atrial Fibrillation to Patients | OSCE Talk

    In this episode of OSCE Talk, Peter and Matthew break down atrial fibrillation (AF) — one of the most common and clinically important cardiac arrhythmias you’ll encounter in OSCEs and practice. We explore what AF is, the different types of atrial fibrillation, and why it significantly increases the risk of stroke. The episode then walks through AF management, including rate vs rhythm control, the role of cardioversion, and how to assess stroke risk using the CHA₂DS₂-VASc score. To bring it all together, we role-play a doctor–patient counselling scenario, demonstrating how to explain AF, anticoagulation, and treatment options clearly, calmly, and safely — exactly what examiners look for. This episode is ideal for OSCE stations involving cardiology, chronic disease counselling, anticoagulation, or arrhythmia management. What atrial fibrillation is and how it affects heart rhythm The three types of AF: paroxysmal, persistent, and permanent Why AF significantly increases stroke risk How and when to use the CHA₂DS₂-VASc score Principles of rate control vs rhythm control When anticoagulation is indicated How to explain anticoagulation risks and benefits to patients What cardioversion involves and how to counsel patients about it Common patient concerns and how to address them How to structure an OSCE-safe AF counselling station

    10 min

  8. 21/12/2025

    ACE Inhibitor Counselling (Ramipril) | Side Effects, Monitoring & OSCE Tips | OSCE Talk

    In this episode of OSCE Talk, we break down how to counsel a patient starting an ACE inhibitor, with a specific focus on Ramipril, one of the most commonly prescribed antihypertensives in clinical practice. We cover when ACE inhibitors are indicated, how to explain their benefits in simple, patient-friendly language, and how to counsel safely on side effects, monitoring, and red flags. The episode also explores NICE guidance, patient selection, and what to do if patients cannot tolerate ACE inhibitors — including when to consider an ARB. Using a simulated patient interaction, we demonstrate how to structure an OSCE-safe counselling conversation, address common concerns, and ensure patients understand when to temporarily stop their medication. This episode is ideal for OSCE stations involving hypertension management, medication counselling, or cardiovascular risk reduction. What ACE inhibitors are and why Ramipril is commonly prescribed How to explain ACE inhibitors clearly without medical jargon NICE-based indications for starting Ramipril Key contraindications and cautions Common side effects (dizziness, dry cough) Serious but rare risks (renal impairment, hyperkalaemia, angioedema) Why kidney function and potassium must be monitored Sick day rules and when to stop the medication When to switch to an ARB How to structure an OSCE-ready medication counselling station

    7 min
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About

OSCE Talk is a podcast designed to help medical students feel more confident in clinical exams. Hosted by UK resident doctors, each episode focuses on one condition or station, breaking down what to ask, what to look for, and what matters in your OSCE. Fast, practical, and exam-focused. 🔗 Follow us: 🎙️ Spotify: OSCE Talk 🍏 Apple Podcasts: OSCE Talk Instagram: https://instagram.com/oscetalk_ TikTok: https://tiktok.com/@oscetalk_ YouTube → https://www.youtube.com/@oscetalkpod

Information

  • Creator
    Osce Talk
  • Years Active
    2025 - 2026
  • Episodes
    29
  • Rating
    Explicit
  • Copyright
    © Osce Talk
  • Show Website
    OSCE Talk

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